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General NPI Number Information
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NPI Number | 1790648038
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Entity Type | Individual
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Provider Name | MOSTAFA AMIR ELSAYED
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 14348 GIDEON DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4640
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Country | US
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Telephone | 703-490-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 9305 ELKHORNE RUN CT
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City | LORTON
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State | VA
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Zip | 22079-3470
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Country | US
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Telephone | 703-490-1330
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2305217502
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License Number State | VA
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